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Article 47: Child Care Programs and Family Shelter-Based Drop-Off Child Supervision Programs
§ 47.01 Definitions.
§ 47.03 Permit Required.
§ 47.05 Program Capacity and Limitation on Hours per Child.
§ 47.07 Permit: Required Approvals and Clearances.
§ 47.09 Applications for Permits.
§ 47.11 Written Safety Plan.
§ 47.13 Teaching Staff Qualifications and Coverage in Child Care Programs.
§ 47.15 Teaching Staff Qualifications for Infant/Toddler Child Care Programs.
§ 47.17 Teaching Staff Qualifications for Night Child Care Programs.
§ 47.18 Shelter Child Supervision Liaison and Shelter Child Supervisor Requirements and Qualifications.
§ 47.19 Criminal Justice and Child Abuse Screening of Current and Prospective Personnel; Reports to the Department.
§ 47.21 Corrective Action Plan.
§ 47.23 Supervision; Staff/Child Ratios and Group Size.
§ 47.25 Health; Children's Examinations and Immunizations.
§ 47.27 Health; Daily Requirements; Reports of Absences; Communicable Diseases.
§ 47.29 Health; Emergencies.
§ 47.31 Health; Medication Administration.
§ 47.33 Health; Staff.
§ 47.35 Personal Hygiene Practices; Staff and Child.
§ 47.37 Training.
§ 47.39 Space Allowance; Reservation for Children's Use.
§ 47.41 Indoor Physical Facilities.
§ 47.43 Plumbing; Toilets, Hand Wash, and Diaper Changing Facilities.
§ 47.45 Ventilation and Lighting.
§ 47.47 Outdoor Play Areas and Facilities.
§ 47.49 General Sanitation and Maintenance.
§ 47.51 Rodents, Insects and Other Pests Prohibited; Pesticide Application Notice.
§ 47.53 Pet Animals.
§ 47.55 Equipment and Furnishings.
§ 47.57 Safety; General Requirements.
§ 47.59 Fire Safety.
§ 47.61 Food and Food Safety.
§ 47.63 Lead-Based Paint Restricted.
§ 47.65 Transportation.
§ 47.67 Child Development Policies, Activities, Rest Periods and Clothing.
§ 47.69 Night Child Care.
§ 47.71 Physical Activity and Limits on Television Viewing.
§ 47.73 Required Postings.
§ 47.75 Modification of Provisions.
§ 47.77 Closing and Enforcement.
§ 47.79 Construction and Severability.
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Article 47: Child Care Programs and Family Shelter-Based Drop-Off Child Supervision Programs
§ 47.01 Definitions.
   (a)   Abuse means any act or failure to act, performed intentionally, knowingly or recklessly, which causes or is likely to cause harm to a child, including, but not limited to:
      (1)   inappropriate use of a physical restraint, isolation, medication or other means that harms or is likely to harm a child; and
      (2)   an unlawful act, a threat or menacing conduct directed toward a child that results and/or might be expected to result in fear or emotional or mental distress to a child.
   (b)   Assistant teacher means a person who is part of the teaching staff and works under the supervision of an education director or group teacher.
   (c)   Certified group teacher means an individual who qualifies as a group teacher pursuant to 24 RCNY Health Code § 47.13(d)(1).
   (d)   Child care program. 
      (1)   Child care program means any program providing child care for five or more hours per week, for more than 30 days in a 12-month period, to three or more children under six years of age.
      (2)   Child care program does not mean:
         (A)   Any State-regulated informal child care program, a group family or family day care home, or school age child care program, or a foster care program;
         (B)   A kindergarten or pre-kindergarten class operated as part of or located within any elementary school; except that school programs that provide care to children younger than three years of age shall be deemed child care programs subject to this Code. "Operated as part of an elementary school" means that there is identical ownership, operation, management and control of kindergarten or pre-kindergarten classes and elementary school classes.
         (C)   "Mommy and me" or equivalent programs where each child is accompanied by a parent or another adult escorting the child, who is not employed by the child care program; or
         (D)   Children's camps operating seasonally at any time between June and September that are required to have a permit, pursuant to 24 RCNY Health Code Article 48 of this Code; or
         (E)   Adult physical fitness, spa or other recreational facilities, or retail establishments, or other businesses providing supervision for children of patrons or employees of the facility, establishment or business while parents are on the premises, unless children are registered or enrolled and individual children are spending more than eight hours/week in the Program.
         (F)   Churches or religious organizations where congregants' children are supervised by employees or members of the congregation while parents attend services.
   (e)   Competent supervision includes awareness of and responsibility for the ongoing activity of each child, performed via direct observation and not by mechanical, audio, or video device. It requires that all children be within a caregiver's line of sight and that the caregiver be near enough to respond when redirection or intervention strategies are needed. Competent supervision takes into account the child's age, emotional, physical, and cognitive development, and must be provided by qualified and cleared staff and in compliance with the minimum staff/child ratios required by 24 RCNY Health Code § 47.23(f).
   (f)   Corporal punishment means punishment inflicted by program staff, or any other individual working for or at a program, directly on the body of a child, including, but not limited to, physical restraint, spanking, biting, shaking, slapping, twisting or squeezing; demanding excessive physical exercise, prolonged lack of movement or motion, or strenuous or bizarre postures; and compelling a child to eat or have in the child's mouth soap, foods, hot spices or irritants or the like.
   (g)   Corrective action plan means a written safety assessment required to be prepared, pursuant to 24 RCNY Health Code § 47.21, that shall be submitted to and approved by the Department when a permittee hires, plans to hire, or plans to utilize the services of, certain persons, or in such circumstances as are specified in this Article, or as may otherwise be required by the Department to show that a particular person at, or the continuing operation of, a child care program shall not pose a danger to children.
   (h)   Early childhood education means education of children under the age of eight.
   (i)   Education director means a person whose responsibilities include, but are not limited to, coordination and development of an age and developmentally appropriate curriculum and program, training of teaching and other staff, and supervision of group teachers.
   (j)   Facility means interiors and exteriors of buildings, structures and areas of premises under the control of a permittee where services are provided and that are subject to the permit.
   (k)   Family shelter-based drop-off child supervision program means any program provided by any family shelter operated by, or through contracts with, the Department of Homeless Services, the Human Resources Administration, or a successor agency, under Title 18 of the New York Code of Rules and Regulations, that provides child supervision services to children under six years old housed in the shelter.
   (l)   Fill and draw pool means a pool that is not equipped with a recirculation system, but is cleaned by complete removal and disposal of used water and replacement with water at periodic intervals.
   (m)   Group size means the maximum number of children that may be cared for as a unit. Group size shall be used to determine the minimum staff/child ratio based upon the age of the children in the group.
   (n)   Group teacher means a person who, under the supervision of an education director, is responsible for planning and supervising age and developmentally appropriate activities for a given group of children.
   (o)   Health care provider means a New York State licensed physician, physician's assistant, nurse practitioner or registered nurse, as defined in the State Education Law.
   (p)   Imminent or public health hazard means any violation, combination of violations, conditions or combination of conditions occurring in a facility making it probable that illness, physical injury or death could occur or the continued operation of the program could result in injury or be otherwise detrimental to the health and safety of a child. Any of the following are imminent or public health hazards which require the Commissioner or designee to order its immediate correction or to order the permittee to cease operations immediately and institute such corrective action as may be required by the Department or provided by this Code. Imminent or public health hazards include, but not be limited to:
      (1)   Failure to maintain constant and competent supervision of children;
      (2)   Use of corporal punishments or of frightening or humiliating methods of behavior management;
      (3)   Failure to immediately report instances of alleged child abuse, maltreatment, or neglect to the Department and the Statewide Central Register of Child Abuse and Maltreatment and to take appropriate corrective action to protect children when allegations of such abuse or maltreatment have been reported to or observed by the permittee;
      (4)   Refusal or failure to provide access to the facility to an authorized employee or agent of the Department;
      (5)   Uncontained sewage in any part of the facility;
      (6)   Transporting children in the bed of a truck or trailer or in any other part of any motor vehicle that is not designed for passenger occupancy; or transporting children without adequate supervision; or failing to use appropriate child restraints in vehicles;
      (7)   Failure to provide two approved means of egress or obstructing any means of egress or a required fire exit;
      (8)   Failure to properly store flammable liquids or other toxic substances;
      (9)   Failure to maintain firefighting or fire detection equipment in working order;
      (10)   Allowing pillows to be used for children younger than two years of age who are not disabled or when not recommended by a health care provider.
      (11)   Contamination of the potable water supply by cross connection or other faults in the water distribution or plumbing systems;
      (12)   Serving food to children from an unknown or unapproved source; serving food that is adulterated, contaminated or otherwise unfit for human consumption, or re-serving food that was previously served;
      (13)   Failing to exclude from work at the program a person with a communicable disease who is required to be excluded, pursuant to 24 RCNY Health Code Article 11;
      (14)   Failure to implement the program's written safety plan resulting in a child not being protected from any unreasonable risk to his or her safety;
      (15)   Conducting construction, demolition, painting, scraping, or any repairs other than emergency repairs while children are present in the facility; failing to remove children from areas and rooms while such activities are in progress;
      (16)   Failure to screen any person who has, or will have the potential for, unsupervised contact with children in accordance with 24 RCNY Health Code § 47.19; or
      (17)   Any other condition(s), violations, or combination of conditions or violations, deemed to be an imminent health hazard by the Commissioner or his or her designee.
   (q)   Infant means a child younger than 12 months of age.
   (r)   Infant/toddler child care program means a child care program that, during all or part of the day or night, provides care to children younger than 24 months of age.
   (s)   Night child care program means a child care program, as defined in this section, that accepts children for care starting at 5 p.m., provides child care services between 5 p.m. and 8 a.m., and operates more than one night per week, for more than 30 days in a 12-month period.
   (t)   Parent means a natural or adoptive parent, guardian or other person lawfully charged with a minor child's care or custody.
   (u)   Permittee means a person, organization or other entity that has been issued a permit to operate a program, pursuant to this Article.
   (v)   Program means any child care program or family shelter-based drop-off child supervision program.
   (w)   Semester hour means a credit, point, or other unit granted for the satisfactory completion of a college or university course which requires at least 15 clock hours (of 50 minutes each) of instruction and at least 30 hours of supplementary assignments, as defined in 8 NYCRR § 50.1. This basic measure shall be adjusted proportionately to translate the value of other academic calendars and formats of study in relation to the credits granted for study during the two semesters that comprise an academic year.
   (x)   Serious injury means a serious impairment of physical condition, including, but not limited to, the following: loss of consciousness; concussion; bone fracture; protracted loss or impairment of function of any bodily member or organ; a wound requiring extensive suturing; and serious disfigurement.
   (y)   Services means any child care or child supervision provided by a child care program or family shelter-based drop-off child supervision program.
   (z)   Shelter child supervision liaison means a person who is employed in a family shelter-based drop-off child supervision program and whose responsibilities shall include but not be limited to: referring families to child care programs, the Early Intervention Program, and Committees on Preschool Special Education; helping families apply for child care services; arranging in-service training of all staff as required by this Article; and keeping a daily log, to be kept on site and made available to the Department upon request, reflecting the number of families admitted to the shelter, the number of children under the age of six admitted to the shelter, the number of children referred to licensed child care programs, and the number of enrollments of referred children in licensed child care programs.
   (aa)   Shelter child supervision staff means shelter child supervision liaisons and child supervisors.
   (bb)   Shelter child supervisor means a person who, under the supervision of a shelter child supervision liaison, is responsible for the supervision of children at a family shelter-based drop-off child supervision program.
   (cc)   Spa pool, "hydrotherapy pool," "whirlpool," "hot spa," or "hot tub" means a pool primarily designed for therapeutic use or relaxation that is generally not drained, cleaned or refilled for individual use. It may include, but is not limited to, hydrojet circulation, hot water, cold water, mineral bath, air induction, bubbles or any combination thereof. Spa pools shall have a maximum water depth of 4 feet at any point and may be equipped with aquatic seats within the perimeter of the pool. Spa pools shall not be used for swimming, wading or diving activities at any facility regulated by this Article.
   (dd)   Staff/child ratio means the minimum number of teaching staff required to be present to care for a given number of children in a child care program, or the minimum number of shelter child supervisors required to supervise a given number of children in a family shelter-based drop-off child supervision program.
   (ee)   Teacher aide means an individual at least 18 years of age who is part of the teaching staff and works under the supervision of an education director, group teacher, or assistant teacher.
   (ff)   Teaching staff means a child care program's education director, group teachers, assistant teachers, and teacher aides.
   (gg)   Toddler means a child between 12 and 24 months of age.
   (hh)   Volunteer means a person who donates any services to a program regulated by this Article.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.03 Permit Required.
   (a)   Permit required. No person shall operate a program as defined in this Article without a permit issued by the Commissioner, provided, however, that a pre-kindergarten or kindergarten that is part of or located in and operated by an elementary school may voluntarily apply for and hold a permit as a child care program. Child care program permits issued before the effective date of this Article will be deemed to be child care program permits.
   (b)   Term of permit. The term of a permit shall be determined by the Department, but in no case shall exceed two (2) years.
   (c)   Permits not transferable. A permit shall be issued to a person, as defined in 24 RCNY Health Code § 1.03, to conduct a program at a specific facility and location. Permits shall specify the number of children that may be cared for in each type of program operated at the facility by the permittee. Permits shall not be transferable or assignable by a permittee to any other person or entity; and shall not be applicable to any other facility or location. Separate permits shall be required for child care programs providing infant/toddler child care, those providing care for children aged two through five, and night child care programs. Any change in building address or location, capacity or permittee not authorized or approved by the Department shall void a permit, and may result in the closure of the program.
   (d)   Inspections. Permittees will allow credentialed Department staff to visit the program while in operation and inspect the documents that are required by this Article to be kept on the premises and provided upon request. Such inspections will occur at least once per year.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.05 Program Capacity and Limitation on Hours per Child.
   (a)   Maximum number of children on premises. Each permit shall specify the maximum number of children to be allowed on the premises of each specific type of program at any time that the program is in operation. The total number of children on the premises of the program shall be included for this purpose, regardless of whether such children are enrolled in the program. The Department shall determine the maximum number of children allowed based upon the number of children for which adequate facilities and teaching staff or shelter child supervision staff are provided, in accordance with:
      (1)   the supervision and space requirements of this Code; and
      (2)   the maximum number of persons permitted by the certificate of occupancy issued by the New York City Department of Buildings (DOB) or, if applicable, another government entity with the authority to issue a certificate of occupancy to the facility.
   (b)   Capacity not to be exceeded. A program shall not have children in attendance in excess of the number(s) prescribed in its permit.
   (c)   Limitation on hours per child. Family shelter-based drop-off child supervision programs must provide no more than 20 hours of services in any week to any child who has resided in the shelter for more than 90 days.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.07 Permit: Required Approvals and Clearances.
No permit shall be issued unless the permit applicant has obtained and submitted to the Department:
   (a)   Certificate of occupancy. A Certificate of occupancy, or a statement of approval that the premises comply with all applicable building laws and codes and may be used as a child care or child supervision facility, issued by DOB or, if applicable, another government entity with the authority to issue a certificate of occupancy to the facility. Where a certificate of occupancy is not required by law, the permit applicant shall submit a current inspection report issued by DOB or, if applicable, an appropriate state or federal government entity certifying that there are no outstanding uncorrected violations of the applicable building code(s). Such documentation shall be kept on site and made available to the Department upon request.
   (b)   Fire safety statement. A statement or report from the New York City Fire Department (FDNY) or, if applicable, the appropriate state or federal government entity, that the premises have been inspected and currently comply with all applicable laws and regulations pertaining to fire control and prevention. A permit shall not be issued or renewed, unless a statement or report is submitted demonstrating compliance with such laws, based upon FDNY's or, if applicable, the appropriate state or federal government entity's, determination on an inspection made within 12 months of the date of submitting the permit renewal application. Such documentation shall be kept on site and made available to the Department upon request.
   (c)   Criminal justice and child abuse screening. Documentation satisfactory to the Department that the permit applicant has submitted all necessary forms and requests for all persons requiring criminal justice and Statewide Central Register of Child Abuse and Maltreatment (SCR) screening in accordance with 24 RCNY Health Code § 47.19. Such documentation must be kept on site and made available to the Department upon request.
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018; amended City Record 12/26/2019, eff. 1/25/2020)
§ 47.09 Applications for Permits.
A person or entity that has never held a permit issued by the Commissioner to operate a program and that proposes to operate such a program subject to such permit, shall attend a pre-permit orientation session held by the Department and shall thereafter submit an application for a permit to the Department.
   (a)   New application. An application for a new permit shall be submitted on forms approved or provided by the Department and shall include, but not be limited to the following:
      (1)   Facility pre-permit technical plan. Each plan, consisting of blueprints, architectural or engineering drawings, shall be drawn to scale, and labeled to show floor layout, all indoor rooms and outdoor areas to be occupied or used by the program, dimensions of such rooms and areas, and intended use of each area; outdoor spaces location in relation to actual distance and location from indoor spaces; and all toilets, sinks and kitchen(s) to be used by children and staff.
      (2)   A copy of a current certificate of occupancy issued by DOB or, if applicable, the other government entity with the authority to issue a certificate of occupancy to the facility, or, if no certificate of occupancy is required by applicable law, a statement from DOB or the appropriate state or federal government entity that the premises and facility to be used for child care or child supervision comply with all applicable building laws and codes.
      (3)   A report of an inspection or a statement issued by FDNY or, if applicable, the appropriate state or federal government entity, finding that the premises comply with all laws and regulations pertaining to fire prevention and control in a program.
      (4)   Written safety plan required by this Code.
      (5)   Proof that teaching staff or shelter child supervision staff credentials required by this Code have been submitted for review to and have been verified by an agent designated by the Department; and that the permit applicant has documentation of all required health examinations, immunizations, and that at least one staff member has the pediatric cardiopulmonary resuscitation (CPR) and pediatric first aid certification required by 24 RCNY Health Code § 47.37(b)(3)(A)(ii)(aa)(1).
      (6)   Permit fee set forth in 24 RCNY Health Code Article 5.
      (7)   Proof of workers' compensation and disability benefits insurance covering all employees.
      (8)   Proof of the program's ability to receive electronic communications. Email addresses shall be provided for the permittee, the education director or the shelter child supervision liaison, and for one or more other persons designated by the permittee or other person in control of a program as persons to receive electronic communications from the Department. The Department shall be notified of changes in email addresses for the permittee, the program, the education director, the shelter child care liaison, and other designees when such changes become effective.
      (9)   Names, including aliases, and other identifying and contact information for all individual owners, managers, or other persons with a controlling interest in the program, officers, directors and board members of a permittee corporation, members of an LLC, partners, education directors, shelter child supervision liaisons, executive and administrative director, if any. Identifying information must include the New York State Identification or NYSID number assigned to these individuals when they were fingerprinted by the New York State Division of Criminal Justice Services, in accordance with 24 RCNY Health Code § 47.19.
   (b)   Notifications of deaths, serious injuries and civil and criminal actions. Permittees and applicants for new permits shall submit, on forms provided by the Department, such information as may be required by the Department concerning all staff misdemeanor or felony arrests, deaths or serious injuries of children that have occurred, or are alleged to have occurred while such children were in the care of the applicant or permittee, or in the care of any owner, director, employee, or volunteer of the applicant or permittee, or while in the care of any agent of the permittee or applicant; and shall identify, in such detail as may be required by the Department, any related civil or criminal action already adjudicated or currently pending in any jurisdiction related to such serious injuries, deaths, or felony or misdemeanor arrests.
   (c)   Renewal application. An application for renewal of a permit shall be submitted on forms provided by the Department no later than 60 days before the expiration date of the current permit, and shall include the permit fee; a full description of any changes in teaching staff, written safety plan, written health plan, email communication information, physical facilities, required staff training or program which occurred after submission of the previous permit application; and specification of any existing modifications of provisions of this Article that the permittee is requesting to be renewed in connection with the new permit.
   (d)   Pre-renewal inspection. A renewal permit shall not be issued unless the Department has conducted an inspection of the program while it is in operation and has found the program to be in substantial compliance with this Code and other applicable law.
   (e)   Renovations and modifications. A permittee shall submit for approval to the Department a request for modification of an existing permit prior to undertaking renovations affecting the size, configuration, or location of rooms or areas used by children.
   (f)   Applications to be complete. No permit shall be issued until the Department has received and has approved all documentation, records, reports, or other information required by this Article or by 24 RCNY Health Code § 5.05. The Commissioner may reject any incomplete application for a new or renewal permit and order an existing program closed and its permit suspended or revoked if the permit application contains misleading information, or information is omitted.
(Amended City Record 9/20/2016, eff. 10/20/2016; amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
§ 47.11 Written Safety Plan.
   (a)   Safety plan required. Every current permittee and every applicant for a new permit shall develop, review annually and update, in accordance with changed circumstances, conditions or activities, or as required by the Department, a written safety plan. The written safety plan shall be approved by the Department if it includes all the information required in this Article. Upon permit renewal, if no changed circumstances require changes to a previously approved written safety plan, the permittee shall state in writing that no changes were needed or made to the plan. The safety plan shall be implemented by the permittee, provided to parents on request, kept in an accessible location at the facility. The program must provide all staff and volunteers with copies of the safety plan and training in implementing the policies and procedures of the plan. This training shall include, but not be limited to, training and drills in medical and other critical and emergency response procedures, including evacuation of the premises. Documentation showing that staff received copies of the plan and training and drills in implementing its provisions must be maintained on site by the permittee and made available to the Department upon request while staff remain employed at the program.
   (b)   Scope and content. The written safety plan shall establish policies and procedures for safe operation, including teaching and other staff duties, facility operation and maintenance, fire safety, general and activity-specific safety, emergency management, staff and child health and medical requirements, staff training and parent/child orientation. The written safety plan shall consist of, at a minimum, a table of contents and the following components:
      (1)   Staff: organizational chart and job descriptions.
      (2)   Program operation and maintenance: schedules and designated staff for facility inspection, cleaning and maintenance, and schedule for boiler/furnace and HVAC system maintenance, maintenance of adequate water pressure, protection of the potable water supply from submerged inlets and cross-connections in the plumbing system, schedule for the annual lead paint survey, inspection of window guards, indoor and outdoor equipment inspection and replacement schedule, evaluation of injury prevention procedures, equipment and structures, identification of procedures for transportation vehicle maintenance, food protection procedures during receipt, storage and preparation, identity of individuals certified in food protection, schedule for sanitization procedures of food prep areas, and identification of approved food sources.
      (3)   Fire safety: evacuation of buildings and property, assembly, supervision, and accounting for children and staff; fire prevention; coordination with local fire officials; fire alarm and detection systems and their operation, maintenance, and routine testing; type, location and maintenance of fire extinguishers; inspection and maintenance of exits; required fire drills and log; electrical safety; and reporting to the Department within 24 hours any fire of which the FDNY or other appropriate state or federal government entity is notified, or that damages any facilities, is threatening to life or health.
      (4)   Health care plan: 
         (A)   a statement of policies and procedures specifying how the health and medical requirements of this Code shall be implemented, including but not limited to the following topics:
            (i)   individual children's restrictions on activities, needs for medication administration, and other special needs, if any;
            (ii)   initial health screenings and required immunizations for children and staff, and collection of related documentation prior to enrollment of a child or hire of a staff member;
            (iii)   daily health surveillance of children;
            (iv)   provision of basic pediatric first aid, and handling and reporting medical emergencies and outbreaks;
            (v)   storage of the required epinephrine auto-injectors as directed by the manufacturer, including their storage location, which must be readily accessible to trained staff but not accessible to children; procedures for inspection of the epinephrine auto-injectors to determine whether the storage location continues to be in compliance with the requirements specified by the manufacturer, and whether the auto-injectors have reached their expiration dates, and procedures for replacement when necessary; and procedures for use of the epinephrine auto-injectors. The name and title of the individual responsible for the epinephrine auto-injectors' inspection and maintenance must be included in the plan and kept current;
            (vi)   response to allegations of child abuse;
            (vii)   medical, nursing, and emergency medical services addressing special individual needs;
            (viii)   names, qualifications, and duties of staff certified in pediatric first aid and pediatric CPR;
            (ix)   separation facilities, supervision, and procedures for caring for ill children until a parent, guardian, or other care giver arrives;
            (x)   storage of medications;
            (xi)   location and use of first aid and CPR supplies;
            (xii)   maintenance of a medical log, to be kept on site and provided to the Department upon request;
            (xiii)   universal precautions for blood borne pathogens;
            (xiv)   reporting of child and staff illness and injuries; and
            (xv)   sanitary practices.
         (B)   If the permittee has a medication administration policy, the permittee shall immediately notify the Department of any changes in designated exempt or certified staff.
      (5)   Corrective action plans: actions to be taken to protect children on receipt of reports of alleged and confirmed teaching and other staff criminal justice or child abuse histories.
      (6)   General and activity specific safety and security: procedures for establishing and maintaining accountability for children and child supervision during all on and off-site activities; maintaining records of staff schedules and assignments, addressing at a minimum:
         (A)   Observing and recording children's daily attendance and the times children enter and leave the program, in accordance with 24 RCNY Health Code § 47.27(a);
         (B)   Recreational and trip supervision and staffing for specific outdoor and off-site activities in accordance with 24 RCNY Health Code § 47.57;
         (C)   Sleep and rest period supervision;
         (D)   Bathroom use supervision;
         (E)   Transportation supervision in accordance with 24 RCNY Health Code § 47.65;
         (F)   Procedures for and staff assigned to (i) securing the facility from unauthorized entry and preventing children from leaving the facility unless they are escorted by authorized adults; (ii) observing and monitoring all entrances and exits at all times children are on premises; and (iii) periodic observation and monitoring of stairs, hallways, bathrooms and unoccupied spaces during program operation.
      (7)   Infant sleep safety: practices and policies that establish a safe sleeping environment, promote an infant's comfort and well-being and reduce the risk of suffocation or death occurring while infants are in cribs or asleep. Such practices and policies must be based on current recommendations of the American Academy of Pediatrics, American Public Health Association, and the National Resource Center for Health and Safety in Child Care and Early Education, Caring for our children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd edition, 2011, or successor recommendations. The plan must include procedures for actively observing and evaluating infants for overheating, breathing status, and other signs of physical or medical distress that may require intervention, at intervals not to exceed 15 minutes. A log, on forms provided or approved by the Department, must be maintained. The log for the immediately prior 14 days must be kept on site for two weeks after observations take place, and must be made available to the Department upon request. Forms with entries indicating problems observed in an individual infant shall be kept in the child's medical record while the child remains enrolled in the program. The use of infant movement monitors or infant apnea monitors does not relieve the program of the responsibility to conduct and note required observations.
      (8)   Staff training: new employee orientation; training curricula, including how staff will be trained in the provisions of the written safety plan and be made aware of its contents of and any changes to the safety plan; procedures for child supervision, infant sleep safety; behavior management; child abuse recognition and reporting; prevention of shaken baby syndrome; prevention of and response to emergencies related to food or allergic reaction; prevention and control of infectious diseases (including immunization), provision of first aid and emergency medical assistance, including but not limited to cardiopulmonary resuscitation and response to emergencies related to food or allergic reaction, including but not limited to use of an epinephrine auto-injector; reporting of child injury and illness; managing and reporting incidents where children are lost to supervision; fire safety and fire drills; child and staff evacuation procedures; activity specific training for assigned activities; handling and storage of hazardous materials and appropriate disposal of biochemicals; and process to document attendance at staff training.
      (9)   Emergency evacuation: age-specific plans for removal of children from the premises for each shift and program where care is provided. Primary emphasis shall be placed on the immediate evacuation of children in premises which are not fireproof. Emergency evacuation procedures, implementing recommendations of FDNY or, if applicable, the appropriate state or federal government entity, shall be posted in conspicuous places throughout the facility. The emergency evacuation plan shall include the following:
         (A)   How children and staff will be made aware of the emergency;
         (B)   Primary and secondary routes of egress;
         (C)   Methods of evacuation, including where children and staff will meet after evacuating the building, and how attendance will be taken;
         (D)   Roles of the staff and chain of command;
         (E)   Notification of authorities and the children's parents.
      (10)   Parent/child orientation: orientation curriculum outline; tour of premises; reporting and management of illnesses, injuries and other incidents; evacuation plan; lost child plan; lightning plan; fire safety and fire drills; evacuation procedures; activity specific training for assigned activities; trips (if provided).
(Amended City Record 9/20/2017, eff. 10/10/2017; amended City Record 6/12/2018, eff. 7/12/2018)
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